Individual
JEROME CLARENCE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1834 GEORGE AVE, ANNAPOLIS, MD 21401-4103
(443) 441-0631
Mailing address
1030 SPA RD APT C, ANNAPOLIS, MD 21403-1168
(410) 330-5992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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